{"id":"4eb536e3-f502-4f57-887b-122757b1cdd4","slug":"patients-with-meningioma-hemorrhage-should-undergo-an-autopsy-if-they-die-from-it-despite-successful-surgery","title":"Patients with meningioma hemorrhage should undergo an autopsy if they die from it despite successful surgery","authors":["Josef Finsterer"],"abstract":"Background: The article discusses a case of an 84-year-old female who experienced spontaneous subdural hemorrhage (SDH) due to an interhemispheric fibrosed falx meningioma, which was treated surgically. The authors raise concerns regarding the classification of meningiomas, indicating that not all are benign according to WHO standards. They emphasize the need for neuropathological evaluation to avoid overlooking malignant meningiomas. Summary: The letter critiques the original study for several limitations, including the unclear cause of death, lack of initial coagulation parameters, and questions regarding the completeness of the meningioma resection. The authors highlight the importance of autopsy in cases where patients die from SDH related to meningiomas, despite surgical intervention. They argue that addressing these limitations is crucial for a more accurate interpretation of the study's findings. Conclusion: The authors conclude that patients with SDH due to meningioma should undergo autopsy if they die following surgery, as this could provide essential information regarding the cause of death and the adequacy of the surgical intervention. Clarifying the unanswered questions raised in the letter could strengthen the conclusions of the original study. Keywords: meningioma, subdural hemorrhage, autopsy, surgery, neuropathological evaluation, coagulation, prognosis, case report","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/placeholders/specialty/general-neurosurgery.png","publishDate":"2024-07-12T00:00:00.000Z","doi":"10.25259/SNI_413_2024","categories":["General Neurosurgery","Letter to the Editor"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/07/12985/SNI-15-244.pdf"}